How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $331.13 | Facility | None | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $275.42 Typical High $275.42 | Professional | None | $141.25 | $275.42 | $275.42 |
BCBS Arkansas Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Facility | None | $204.17 | $204.17 | $275.42 |
BCBS Arkansas Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $245.47 | Professional | None | $165.96 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $446.68 | Facility | None | $141.25 | $229.09 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $275.42 | Professional | None | $81.28 | $125.89 | $275.42 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $177.83 | Facility | None | $158.49 | $158.49 | $177.83 |
United Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $239.88 | Professional | None | $74.13 | $120.23 | $239.88 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $70.79 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $28.18 | $54.95 | $54.95 |
Where Arkansas sits
The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arkansas· 19th of 51
$204
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.